amp keeping healthy in rural Mid Wales Anna L Prytherch Project Manager Rural Health and Care Wales Rural Health and Care Wales Recommendation from the Mid Wales Healthcare Study Marcus Longley 2014 ID: 788216
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Slide1
New ways of living well & keeping healthy in rural Mid Wales
Anna L. PrytherchProject Manager, Rural Health and Care Wales
Slide2Rural Health and Care Wales
Recommendation from the Mid Wales Healthcare Study (Marcus Longley, 2014):“The three Health Boards that cover Mid Wales, working with local universities and others, should develop and support a centre of excellence in rural healthcare, with a particular focus on research, development and dissemination of evidence in health service research which addresses the particular challenges of Mid Wales. This has great potential to carry out work of relevance internationally.”
Launched by Prof. Mark
Drakeford
AM, Minister for Health and Social Services, on 24th March 2016 (now First Minister of Wales)
Funded and supported by Hywel Dda and
Betsi
Cadwaladr
University Health Boards, Powys Teaching Health Board and Welsh Ambulance Service NHS Trust
RHCW Management Group includes representatives from Ceredigion, Powys and Gwynedd Local Authorities, and the Universities of Cardiff, Swansea, Bangor, Aberystwyth, UWTSD and
Coleg
Cymraeg
Cenedlaethol
Slide3Rural Health and Care Wales
Vision to become a world-leading organisation in rural health and social care
research
,
training
,
recruitment
and
best practice
Aims
Rural Health and Care Wales’ prime aims are to:
provide a focal point for the development and collation of high quality research pertinent to rural health and wellbeing
improve the training, recruitment and retention of a professional workforce within rural communities
be recognised as an exemplar in rural health and wellbeing on the international stage
Slide4Rural Health and Wellbeing- the Positives
UK Government Statistics on Rural Health (31 August 2017):
Average
life expectancy
is higher in rural areas than urban areas
Men 80.6yrs vs 79.4yrs
Women 84yrs vs 83.1yrs
Infant mortality
is lower in Rural areas than Urban areas (3.1 deaths per 1,000 births versus 4 deaths per 1,000 births)
Small but consistent
improvements in wellbeing
also measured in people living in rural areas
vs
urban areas:
Life satisfaction 7.82 (urban 7.61)
Life is worthwhile 7.98 (7.81)
Happiness 7.65 (7.45)
Anxiousness 2.73 (2.98)
Slide5Rural Health and Wellbeing - the Challenges
Health and Social Care challenges
facing people in Rural areas:
Access to health care:
Access to GPs / hospitals/ consultants
Transport links
Broadband infrastructure
Logistical issues relating to care in the community (distance / time)
Demographics - elderly population
Recruitment and retention of health and social care professionals
Access to “local” education / training and Continuous Professional Development opportunities
Lack of recognition of skills required by rural healthcare practitioners
Slide6Rural Health and Care- Opportunities
Health and Social Care opportunities
in Rural areas:
Maximise health and wellbeing benefits from living in Rural areas:
Green / blue / social prescribing
Build on strong communities (e.g.
Solva
Care)
Attract professionals looking for work / life balance
Better integration of health and social care provision
Share rural experience and best practice – international collaboration
Slide7Rural Health and Care- Opportunities
Health and Social Care opportunities
in Rural areas:
New
roles – Physician Associates / Nurse
Practitioners / Link Workers
Recognition of “rural” specialism within healthcare
Broadband connectivity – improvements needed - telemedicine
Develop “local” education / training opportunities
Cardiff University School of Medicine CARER (Sept. 2018)
Swansea University Primary Care Academy (Sept. 2020?)
Return of Nurse training to Mid Wales
Slide8Rural Health and Care- Work Examples
Addressing the challenge of Recruitment and Retention:
Funding PhD student to research the recruitment and retention challenges to rural nurses in Mid Wales
Recruitment brochure for Health and Care professionals in Mid Wales
https
://ruralhealthandcare.wales/rural-mid-wales/working-mid-wales
/
Recruitment video for nurses across Mid Wales
https://
www.youtube.com/watch?v=J2IzGBPx8zE&feature=youtu.be
Slide9Rural Health and Care- Work Examples
Sharing Best Practice and Innovation - Annual Rural Health and Care Conference:
Annual event held in November at RWAS, Builth Wells
Linking health, care and voluntary sectors, encouraging public attendance and involvement
https://ruralhealthandcare.wales/public-staff-engagements/events/rhcw-conference-2018
/
This year extended to 2-day event
Slide10Rural Health and Care- Work Examples
Sharing Best Practice and Innovation - Annual Rural Health and Care Conference:
Slide11Rural Health and Care- Work Examples
Research and Publications
Comparison of the Population
Assessments
undertaken across
Mid Wales
Review of the Well-being Plans
across
Mid Wales
Recruitment and Retention of Health
and
Social Care
Professionals
in
Rural
Mid Wales
Nurse Recruitment and Retention
in
Rural areas
Education and Training for Health
and
Social Care Professionals
in
Rural Mid Wales
Slide12New ways of living well and keeping health in rural Mid Wales
Welsh Government –
“A Healthier Wales: our Plan for Health and Social Care”
Closer collaboration between health and social care services
More care at home or closer to home – increasing role of communities / voluntary sector
Support for people to stay well by looking after themselves –
moving from a dependent health culture to taking more responsibility for own health and well-being
https://gov.wales/topics/health/publications/healthier-wales/?
lang=en
Increasing focus on “well-being” and using the green / natural environment and community resources to support well-being
and happiness – see
https://ruralhealthandcare.wales/green-health-practice
/
Slide13New ways of living well and keeping health in rural Mid Wales
Examples of RHCW projects that align with new direction for health and care:
Social Prescribing research project grant application submitted (PHW, AU, BU, RHCW)
Community Resilience project in development stage, working with
Solva
Care
https://solvacare.co.uk
/
Supporting CARER medical student with loneliness project
Social Prescribing Pilot project (2018)
On your Bike /
Ar
dy
Feic
Slide14Social Prescribing pilot project
Social Prescribing Research Project in Rural Mid Wales:What is Social Prescribing? https://youtu.be/Etza2LE5Gh4.
Collaborative project between Public Health Wales, Aberystwyth University (WARU) and RHCW
Undertaken in 2018 in North Ceredigion
“Link Worker” employed
Funded by PHW through an internal “pump priming” fund
6 month project, extended
Working with Cambrian Primary Care GP Federation
Research currently being written up
Grant application submitted for up-scaled project
Slide15Social Prescribing pilot project
Slide16On your Bike - BackgroundChild obesity is on the increase, with Wales figures higher than England23.2% of 4-5 year old children in Ceredigion are overweight or obese (Ceredigion Local Well-being Plan, Feb. 2018)Research shows that overweight children grow up to be overweight adults, with associated health impactsPublic Health Wales predict that
2/3rds of adult population in Wales will be overweight by 2025Important to instil health lifestyle in young people, encouraging exercise and healthy eatingStrategic support to improve health and well-being:Wellbeing of Future Generations Act (Wales) 2015Ceredigion Local Well-being Plan (2018)
Slide17On your Bike - IntentPRIME AIM: to increase and mainstream physical activity in young people by innovative incentivisation
“On your Bike” will provide a sustainable means of generating energy that will charge mobile devicesBy charging mobile devices in this way, young people will engage in outdoor physical activityThe physical activity will/should improve health and well-beingNot aimed at traditional gym-users
Slide18On your Bike – Additional BenefitsWill raise the profile and create a dialogue around sustainable energy generationWill highlight the benefits of regular exercise, particular outdoor activityWill open discussion on obesity,
health and well-beingWill show that exercise can be fun!Will encourage community co-hesion and co-production
Slide19On your Bike / Ar dy Feic2 part project – consultation and implementation
Initial consultation phase with young people aged 14 – 25 – currently liveImplementation and installation April 2019Active research after installation of equipment to:Monitor usageMonitor any health and well-being benefitsUndertake focus group and questionnaire analyses
Receive feedback from participants
Report and recommendations
Constant theme –
Awareness Raising of Health and Well-being benefits from outdoor activity
https://
www.youtube.com/watch?v=D-78pxfmWGw
Slide20Current Stage - ConsultationTarget: 14 – 25 year olds in Ceredigion involved in consultation:All secondary schools in CeredigionCeredigion Youth Service (Youth Clubs)Hyfforddiant Ceredigion Training
Coleg CeredigionCeredigion Actif
Slide21Slide22New ways of living well and keeping health in rural Mid Wales
SUMMARY
Rural areas ideally placed to lead on new ways of working in health and care due to:
Strong communities
Innovative approaches already being used and cited as best practice
The green / natural environment
Recognition of role of Bronglais
DGH
to Mid Wales
Increasing prioritisation of community
hospitals, “local” centres of care and telemedicine
New roles being developed in health and care and greater integration between both
Initiatives to recruit and retain rural health and care workforce
Challenges – broadband / digital health agenda; Brexit?
Areas to develop – digital skills; Welsh language; flexible career pathways
Slide23Any Questions?
Unrhyw Cwestiynau
?
Anna L. Prytherch
Project Manager, Rural Health and Care Wales
www.ruralhealthandcare.wales
Email:
anna.prytherch@wales.nhs.uk
Phone: 01970-635918